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Seattle & King County Emergency Medical Services System

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Public Health – Seattle & King County ( PHSKC ) is the public health department in King County, Washington , United States. It is jointly managed by the City of Seattle and King County governments, serving approximately 2.6 million residents. Some of its services include King County Medic One , overdose prevention and response, online restaurant inspections, emergency preparedness, sexual health services.

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83-457: The Seattle & King County Emergency Medical Services System is a fire-based two-tier response system providing prehospital basic and advanced life support services. There are six paramedic provider programs in the system. The Seattle Fire Department operates Seattle Medic One. The program is funded by the city's general fund and has a different administrative structure than the five other Medic One programs. The five other Medic One programs with

166-460: A defibrillator followed immediately by two minutes of CPR, beginning with chest compressions. This has dropped the average time between first shock to starting CPR from twenty-eight seconds to seven seconds, resulting in a near 50% increase in the previous rate of survival. For every one hundred cardiac arrest calls, now an additional thirteen patients will live. In King County outcomes of attempted out-of-hospital resuscitations are recorded, following

249-421: A federal government expert wrote, "Seldom have I seen worse conditions among dairies than in those here." In 1915, Seattle could claim that its death rate , of 7.44 per thousand, was the lowest of any city of its size in the world. Still, in 1916 there were numerous cases of poisoning from bad chickens and fish. In that era, the department focused in large measure on quarantine for infectious diseases and had

332-529: A fire department or private ambulance company transport non-critical patients. In 1968, motivated by the work of Frank Pantridge , cardiologist Leonard Cobb proposed to the chief of the Seattle Fire Department , Gordon Vickery, training firefighters to treat cardiac arrest. The department was attractive to Cobb because it already provided first aid and tracked its performance electronically. In 1969, they trained fifteen firefighters and used

415-603: A grant from the Washington/Alaska Regional Medical Program to convert a large motor home into a Mobile Coronary Care Unit nicknamed "Moby Pig", which would respond to calls with both the firefighter paramedics and a physician on board. The first Medic One call was on March 7, 1970. During the program's first year, 31 lives were saved. The following year the program was changed, replacing the on-board doctors with fire department paramedics given advanced special training and remote access to

498-689: A great frenzy among the technology companies in Seattle but the bubble ended in early 2001. In 1999, the World Trade Organization held its conference in Seattle, which was met with protest activity . The protests and police reactions to them largely overshadowed the conference itself. In 2001, the city was impacted by the Mardi Gras Riots and then by the Nisqually earthquake the following day. Another boom began as

581-406: A more rigorous review is conducted. Medic One paramedic programs are funded by a property tax levy. Basic life support services receive partial funding from the levy. The levy passed in 1979, 1985, 1991, 1998, 2001, and 2008. The levy did not pass in 1997. The Medic One Foundation is a nonprofit charitable foundation supporting paramedic training, research, medical oversight and quality review, and

664-441: A number of technology companies, including Amazon , F5 Networks , RealNetworks , Nintendo of America , and T-Mobile . This success brought an influx of new residents with a population increase within city limits of almost 50,000 between 1990 and 2000, and saw Seattle's real estate become some of the most expensive in the country. Seattle in this period attracted attention as home to the companies opened operations in or around

747-478: A number of theaters in the city exhibiting vaudeville acts and silent movies. He went on to become one of America's greatest theater and movie tycoons. Scottish-born architect B. Marcus Priteca designed several theaters for Pantages in Seattle, which were later demolished or converted to other uses. Seattle's surviving Paramount Theatre , on which he collaborated, was not a Pantages theater. War work again brought local prosperity during World War II , centered on

830-582: A special division to deal with tuberculosis , including a special tuberculosis hospital, Firland Tuberculosis Hospital (founded as Henry Sanatorium in 1911 by Seattle millionaire and philanthropist Horace Chapin Henry ). (Appeared as "The Pines Sanatarium" in Betty MacDonald's THE PLAGUE & I. Health inspections were required for all people engaged in food preparation, as were general physicals for drivers of vehicles for hire. A child welfare division

913-604: A total area of 142.5 square miles (369 km ), 84 square miles (220 km ) of which is land and 58.1 square miles (150 km ) is water (41% of the total area). According to the Köppen climate classification system, Seattle has a warm-summer Mediterranean climate ( Csb ), while under the Trewartha system, it is labeled an oceanic climate ( Dobk ). It has cool, wet winters and mild, relatively dry summers, covering characteristics of both climate types. The climate

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996-512: A variety of medications. The final component is an emphasis on community based CPR training, called Medic Two. The Seattle/ King County area has the highest per capita number of citizens that are trained in the administration of CPR techniques, approximately 50% of its residents. Medic One is operated as a partnership between physicians and administrators. Medical directors review patient care by paramedics and can make recommendations including decertification and termination. Administrators act upon

1079-562: Is Peter Kudenchuk . Founded on strong physician leadership Medic One is structured around response , training , and quality improvement . One of the primary components to the success of Medic One is their “Tiered Response System” which begins with the citizen call to the 9-1-1 center. Emergency Medical Dispatchers are trained to rapidly triage the call to dispatch the appropriate level of assistance, while providing pre-arrival instruction of CPR. Firefighters, with EMT training, respond first to deliver immediate Basic Life Support (BLS), pending

1162-457: Is 9 minutes 45 seconds. In 2008, 58% (530/920) of EMS-treated cardiac arrests not witnessed by EMS in Seattle & King County CPR was initiated by a bystander. Seattle Medic One's first-pass success rate for oral endotracheal intubation is 75% (years 2001–2005). Its overall success rate is 98.4%. Public Health - Seattle %26 King County The Seattle City Council created the position of city Health Officer in 1877. The Health Officer had

1245-593: Is a city on the West Coast of the United States . It is the seat of King County , Washington . With a 2023 population of 755,078 it is the most populous city in both the state of Washington and the Pacific Northwest region of North America , and the 18th-most populous city in the United States. The Seattle metropolitan area 's population is 4.02 million, making it the 15th-largest in

1328-656: Is a dynamic layered response system. An EMS response to an emergency begins with a telephone call to 9-1-1 . Calls are transferred from a primary call taker to emergency medical call taker who gathers information from the caller, gives instructions to the caller, and determines what types of emergency personnel to send. For very serious and life-threatening emergencies firefighters trained in basic life support and paramedics trained in advanced life support respond simultaneously. Paramedics transport patients in critical condition. For less severe emergencies only firefighters will be dispatched. Basic life support personnel from either

1411-506: Is hilly in some places. Like Rome, the city is said to lie on seven hills ; the lists vary but typically include Capitol Hill , First Hill , West Seattle , Beacon Hill , Queen Anne , Magnolia, and the former Denny Hill . The Wallingford , Delridge , Mount Baker , Seward Park , Washington Park , Broadmoor , Madrona , Phinney Ridge , Sunset Hill , Blue Ridge , Broadview , Laurelhurst , Hawthorne Hills , Maple Leaf , and Crown Hill neighborhoods are all located on hills. Many of

1494-491: Is sometimes characterized as a "modified Mediterranean" climate because it is cooler and wetter than a "true" Mediterranean climate, but shares the characteristic dry summer (which has a strong influence on the region's vegetation). Temperature extremes are moderated by the adjacent Puget Sound , greater Pacific Ocean , and Lake Washington . Thus extreme heat waves are rare in the Seattle area, as are very cold temperatures (below about 15 °F; −9 °C). The Seattle area

1577-568: Is the cloudiest region of the Continental United States , due in part to frequent storms and lows moving in from the adjacent Pacific Ocean. Seattle is cloudy 201 days out of the year and partly cloudy 93 days. With many more "rain days" than other major American cities, Seattle has a well-earned reputation for frequent rain: In an average year, there are 150 days in which at least 0.01 inches (0.25 mm) of precipitation falls, more days than in nearly all U.S. cities east of

1660-506: Is the paramedic provider program serving Seattle . It is operated by the Seattle Fire Department . The paramedic medical director for Seattle Medic One is Michael Sayre. The Seattle program conducts field internships for the University of Washington Paramedic Training Program. King County Medic One is the paramedic service serving all of South King County provided by Public Health - Seattle & King County . Its medical director

1743-525: The 1962 World's Fair , for which the Space Needle was built. Another major local economic downturn was in the late 1960s and early 1970s, at a time when Boeing was heavily affected by the oil crises , loss of government contracts, and costs and delays associated with the Boeing 747 . Many people left the area to look for work elsewhere, and two local real estate agents put up a billboard reading "Will

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1826-618: The Alaska–Yukon–Pacific Exposition of 1909, which is largely responsible for the layout of today's University of Washington campus. A shipbuilding boom in the early part of the 20th century became massive during World War I , making Seattle somewhat of a company town. The subsequent retrenchment led to the Seattle General Strike of 1919 , an early general strike in the country. A 1912 city development plan by Virgil Bogue went largely unused. Seattle

1909-663: The Lake Washington Ship Canal (consisting of two man-made canals, Lake Union , and the Hiram M. Chittenden Locks at Salmon Bay , ending in Shilshole Bay on Puget Sound). The sea, rivers, forests, lakes, and fields surrounding Seattle were once rich enough to support one of the world's few sedentary hunter-gatherer societies. In modern times the surrounding area lends itself well to sailing, skiing, bicycling, camping, and hiking year-round. The city

1992-790: The Pacific Ring of Fire , Seattle is in a major earthquake zone . On February 28, 2001, the magnitude 6.8 Nisqually earthquake did significant architectural damage, especially in the Pioneer Square area (built on reclaimed land , as are the Industrial District and part of the city center), and caused one fatality. Other strong earthquakes occurred on January 26, 1700 (estimated at 9 magnitude), December 14, 1872 (7.3 or 7.4), April 13, 1949 (7.1), and April 29, 1965 (6.5). The 1965 quake caused three deaths in Seattle directly and one more by heart failure. Although

2075-680: The Port of Seattle is the fourth-largest port in North America in terms of container handling as of 2021 . The Seattle area has been inhabited by Native Americans (such as the Duwamish , who had at least 17 villages around Elliot Bay) for at least 4,000 years before the first permanent European settlers. Arthur A. Denny and his group of travelers, subsequently known as the Denny Party , arrived from Illinois via Portland, Oregon , on

2158-759: The Rocky Mountains . However, because it often has merely a light drizzle falling from the sky for many days, Seattle actually receives significantly less rainfall (or other precipitation) overall than many other major U.S. cities like New York City , Miami , or Houston . According to the 2012–2016 American Community Survey (ACS), the racial makeup of the city was 65.7% White Non-Hispanic , 16.9% Asian , 6.8% Black or African American , 6.6% Hispanic or Latino of any race, 0.4% Native American , 0.9% Pacific Islander , 0.2% other races, and 5.6% two or more races . Seattle's population historically has been predominantly white. The 2010 census showed that Seattle

2241-525: The Seattle Fault passes just south of the city center, neither it nor the Cascadia subduction zone has caused an earthquake since the city's founding. The Cascadia subduction zone poses the threat of an earthquake of magnitude 9.0 or greater, capable of seriously damaging the city and collapsing many buildings, especially in zones built on fill. According to the U.S. Census Bureau , the city has

2324-460: The University of Washington negatively. As schools across Washington lost funding and attendance, the university actually prospered during the time period as they focused on growing their student enrollment. While Seattle public schools were influenced by Washington's superintendent Worth McClure, they still struggled to pay teachers and maintain attendance. Seattle was the home base of impresario Alexander Pantages who, starting in 1902, opened

2407-505: The Utstein uniform reporting guidelines , in a cardiac arrest registry. In 2008 Medic One's survival rate for witnessed cardiac arrests due to heart disease prior to EMS arrival with initial rhythm of ventricular fibrillation or ventricular tachycardia was 49%. The average response time for basic life support personnel for cardiac arrests from time of 9-1-1 being dialed to arrival is 4 minutes 40 seconds and for advanced life support personnel

2490-609: The anti-Chinese riots of 1885–1886 . This violence originated with unemployed whites who were determined to drive the Chinese from Seattle; anti-Chinese riots also occurred in Tacoma . Seattle had achieved sufficient economic success when the Great Seattle Fire of 1889 destroyed the central business district. However, a far grander city center rapidly emerged in its place. Finance company Washington Mutual , for example,

2573-523: The operating room and emergency department at Harborview Medical Center and critical care unit and labor and delivery at Seattle Children's Hospital , and 900 field internship hours with Seattle Medic One . Students see an average of 700 patient contacts. The paramedic medical director for the one of six Medic One programs that provided care reviews every resuscitation, intubation, and central-line placement attempt. That director provides both positive and negative feedback. For probationary paramedics

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2656-428: The schooner Exact at Alki Point on November 13, 1851. The settlement was moved to the eastern shore of Elliott Bay in 1852 and named "Seattle" in honor of Chief Seattle , a prominent 19th-century leader of the local Duwamish and Suquamish tribes. Seattle currently has high populations of Native Americans alongside Americans with strong Asian, African, European, and Scandinavian ancestry, and, as of 2015, hosts

2739-482: The 1980s, the Seattle area developed into a technology center ; Microsoft established its headquarters in the region. In 1994, Internet retailer Amazon was founded in Seattle, and Alaska Airlines is based in SeaTac, Washington , serving Seattle–Tacoma International Airport , Seattle's international airport. The stream of new software, biotechnology , and Internet companies led to an economic revival, which increased

2822-625: The Denny Party. Members of the Denny Party claimed land on Alki Point on September 28, 1851. The rest of the Denny Party set sail on the schooner Exact from Portland , Oregon, stopping in Astoria , and landed at Alki Point during a rainstorm on November 13, 1851. After a difficult winter, most of the Denny Party relocated across Elliott Bay and claimed land a second time at the site of present-day Pioneer Square , naming this new settlement Duwamps . Charles Terry and John Low remained at

2905-538: The EMTs were usually at the patient's side several minutes before the paramedics. Eisenberg began training 9-1-1 dispatchers to provide instructions to lay-persons on how to perform CPR in 1982. With the introduction of automatic external defibrillators (AEDs) in 1984, EMTs were able to defibrillate patients in cardiac arrest even more quickly. There are five paramedic programs in the Medic One system. Seattle Medic One

2988-637: The King County Department of Health. Until 1981, the City of Seattle administered the department; the city and the rest of the county each provided funding proportionate to their populations. Since 1981, the department is under county administration; the City retains direct policy and funding control over the Seattle Services Division. Seattle Seattle ( / s i ˈ æ t əl / see- AT -əl )

3071-521: The Legislature of Territorial Washington incorporated the Town of Seattle with a board of trustees managing the city. The Town of Seattle was disincorporated on January 18, 1867, and remained a mere precinct of King County until late 1869, when a new petition was filed and the city was re-incorporated December 2, 1869, with a mayor–council government . The corporate seal of the City of Seattle carries

3154-433: The Medic One program is the comprehensive training program for the paramedics, one of the most stringent anywhere, making their paramedics some of the most thoroughly trained in the world. Only paramedics with at least three years of prior firefighter or EMT experience may enter the program. Medic One paramedics receive 2,000 hours of instruction, using both “book” studies and hands on field and clinical application through both

3237-750: The Pacific Ocean) to the west and Lake Washington to the east. The city's chief harbor, Elliott Bay , is part of Puget Sound, making the city an oceanic port. To the west, beyond Puget Sound, are the Kitsap Peninsula and Olympic Mountains on the Olympic Peninsula ; to the east, beyond Lake Washington and the Eastside suburbs, are Lake Sammamish and the Cascade Range . Lake Washington's waters flow to Puget Sound through

3320-683: The Seattle area and has been open to all residents of Washington since 2002. On March 20, 1970, twenty-eight people were killed when the Ozark Hotel was burned by an unknown arsonist. The Wah Mee massacre in 1983 resulted in the killing of 13 people in an illegal gambling club in the Seattle Chinatown-International District . Prosperity began to return in the 1980s beginning with Microsoft 's 1979 move from Albuquerque, New Mexico , to nearby Bellevue, Washington . Seattle and its suburbs became home to

3403-655: The Seattle area during his 1791–1795 expedition for the Royal Navy , which sought to chart the Pacific Northwest for the British. In 1851, a large party of American pioneers led by Luther Collins made a location on land at the mouth of the Duwamish River ; they formally claimed it on September 14, 1851. Thirteen days later, members of the Collins Party on the way to their claim passed three scouts of

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3486-524: The United States. Its growth rate of 21.1% between 2010 and 2020 made it one of the country's fastest-growing large cities. Seattle is situated on an isthmus between Puget Sound , an inlet of the Pacific Ocean , and Lake Washington . It is the northernmost major city in the United States, located about 100 miles (160 km) south of the Canadian border . A gateway for trade with East Asia ,

3569-529: The University of Washington and Harborview Medical Center. The national standard for paramedic training is just 1,100 hours. Medic One paramedics will have more than 700 patient contacts during their training, which is three times the national standard. Upon completion of training Medic One paramedics are considered to be an extension of the ER doctors and may perform advanced medical care, open airways and administer

3652-599: The area's high survival rate for heart attacks and their comprehensive CPR training program. That same year Medic One incorporated as a privately held, non-profit organization and established the Medic One Foundation, which works on behalf of both fund raising and the expansion of the program. The program is financed by local property tax levies, which are voted on by the public every six years, along with private and corporate donations. Medic One had saved 655 patients from cardiac arrest by 1976 and this success

3735-590: The arrival of the paramedics. Specially trained paramedics arrive within minutes to provide Advanced Life Support (ALS) and, if needed, can provide transportation to the nearest appropriate Medical Center. The system is successful due to the blended cooperation between the fire department and paramedic/ambulance services, as well as, a strict policy of meticulous measurement of system performance and cardiac arrest survival information. Strong leadership and regional programs promote uniformity in medical care and response, regardless of jurisdiction. Another critical element to

3818-634: The bigger West Coast city. Seattle had building contracts that rivaled New York City and Chicago , but also lost to Los Angeles. Seattle's eastern farm land faded due to Oregon 's and the Midwest 's, forcing people into town. Hooverville arose during the Depression, leading to Seattle's growing homeless population. Stationed outside Seattle, the Hooverville housed thousands of men but very few children and no women. With work projects close to

3901-493: The city emerged from the Great Recession , commencing when Amazon moved its headquarters from North Beacon Hill to South Lake Union . The move initiated a historic construction boom which resulted in the completion of almost 10,000 apartments in Seattle in 2017, more than any previous year and nearly twice as many as were built in 2016. From 2010 to 2015, Seattle gained an average of 14,511 residents per year, with

3984-496: The city's population by almost 50,000 in the decade between 1990 and 2000. The culture of Seattle is heavily defined by its significant musical history . Between 1918 and 1951, nearly 24 jazz nightclubs existed along Jackson Street, from the current Chinatown/International District to the Central District . The jazz scene nurtured the early careers of Ernestine Anderson , Ray Charles , Quincy Jones , and others. In

4067-631: The city, Hooverville grew and the WPA settled into the city. A movement of women arose from Seattle during the Great Depression , fueled in part by Eleanor Roosevelt 's 1933 book It's Up to the Women ; women pushed for recognition, not just as housewives, but as the backbone to family. Using newspapers and journals Working Woman and The Woman Today , women pushed to be seen as equal and receive some recognition. The Great Depression did not impact

4150-546: The city. In 1990, the Goodwill Games were held in the city. Three years later, in 1993, the APEC leaders was hosted in Seattle. The 1990s also witnessed a growing popularity in grunge music, a sound that was largely developed in Seattle's independent music scene. In 1993, the movie Sleepless in Seattle brought the city further national attention, as did the television sitcom Frasier . The dot-com boom caused

4233-511: The date "1869" and a likeness of Chief Seattle in left profile. That same year, Seattle acquired the epithet of the "Queen City", a designation officially changed in 1982 to the "Emerald City". Seattle has a history of boom-and-bust cycles, like many other cities near areas of extensive natural and mineral resources. Seattle has risen several times economically, then gone into precipitous decline, but it has typically used those periods to rebuild solid infrastructure. The first such boom, covering

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4316-438: The department ordered 88,594 pounds (40,186 kg) of meat destroyed as unfit for human consumption. Dairy rankings were published in the daily paper to encourage competition in keeping standards high. From 1912, garbage collection became a city function, initially utilizing a mix of landfill burial, incineration, and dumping from scows . The Seattle Department of Health continued in this form until 1951, when it merged with

4399-453: The doctors. In 1974, the TV news-magazine 60 Minutes profiled the success of Medic One, lauding the high standards of training and education provided by the Seattle training program. Correspondent Morley Safer declared, "If you have to have a heart attack, have it in Seattle". The phrase is still used frequently in conjunction with Medic One, due to its continued success which is reflected in

4482-598: The early part of the 20th century, and funded many new Seattle companies and products. In 1907, 19-year-old James E. Casey borrowed $ 100 from a friend and founded the American Messenger Company (later UPS ). Other Seattle companies founded during this period include Nordstrom and Eddie Bauer . Seattle brought in the Olmsted Brothers landscape architecture firm to design a system of parks and boulevards. The Gold Rush era culminated in

4565-486: The early years of the city, rode on the lumber industry. During this period the road now known as Yesler Way won the nickname "Skid Road", supposedly after the timber skidding down the hill to Henry Yesler 's sawmill. The later dereliction of the area may be a possible origin for the term which later entered the wider American lexicon as Skid Row . Like much of the U.S. West , Seattle experienced conflicts between labor and management and ethnic tensions that culminated in

4648-579: The exception of King County Medic One are operated by fire departments under a formal contract with the EMS Division of Public Health - Seattle & King County . King County Medic One is directly operated by the EMS Division. The modern EMS system in King County began operation in 1970 with 15 paramedics staffing one paramedic unit in Seattle. In 2009, there were 255 paramedics from six paramedic programs staffing 26 paramedic units. The system

4731-472: The fifth-largest LGBT community in the U.S. Logging was Seattle's first major industry, but by the late 19th century the city had become a commercial and shipbuilding center as a gateway to Alaska during the Klondike Gold Rush . The city grew after World War II , partly due to the local company Boeing , which established Seattle as a center for its manufacturing of aircraft. Beginning in

4814-473: The founders of Duwamps, was the primary advocate to name the settlement Seattle after Chief Seattle ( Lushootseed : siʔaɫ , anglicized as "Seattle"), chief of the Duwamish and Suquamish tribes. The name "Seattle" appears on official Washington Territory papers dated May 23, 1853, when the first plats for the village were filed. In 1855, nominal land settlements were established. On January 14, 1865,

4897-411: The growth strongly skewed toward the center of the city, and unemployment dropped from roughly 9 percent to 3.6 percent. The city has found itself "bursting at the seams", with over 45,000 households spending more than half their income on housing and at least 2,800 people homeless , and with the country's sixth-worst rush-hour traffic. Seattle is located between the saltwater Puget Sound (an arm of

4980-570: The health officer could not investigate them all" and "hogs with cholera were being sold for human consumption." From 1891, there was also a Market Inspector, under the supervision of the Health Officer. An amended City Charter in 1908 replaced the Board of Health with a new Department of Health, with a Commissioner of Health appointed by the Mayor. At that time, problems were still quite severe:

5063-401: The hilliest areas are near the city center, with Capitol Hill, First Hill, and Beacon Hill collectively constituting something of a ridge along an isthmus between Elliott Bay and Lake Washington. The break in the ridge between First Hill and Beacon Hill is man-made, a result of two of the many regrading projects that reshaped the topography of the city center. The topography of the city center

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5146-418: The last person leaving Seattle – Turn out the lights." Seattle remained the corporate headquarters of Boeing until 2001, when the company separated its headquarters from its major production facilities; the headquarters were moved to Chicago. The Seattle area is still home to Boeing's Renton narrow-body plant and Everett wide-body plant . The company's credit union for employees, BECU , remains based in

5229-425: The late 19th and early 20th centuries were almost entirely from Guangdong Province . The Seattle area is also home to a large Vietnamese population of more than 55,000 residents, as well as over 30,000 Somali immigrants. The Seattle-Tacoma area is also home to one of the largest Cambodian communities in the United States, numbering about 19,000 Cambodian Americans, and one of the largest Samoan communities in

5312-460: The late 20th and early 21st century, the city also was the origin of several rock bands, including Foo Fighters , Heart , and Jimi Hendrix , and the subgenre of grunge and its pioneering bands, including Alice in Chains , Nirvana , Pearl Jam , Soundgarden , and others. Archaeological excavations suggest that Native Americans have inhabited the Seattle area for at least 4,000 years. By

5395-490: The mainland U.S., with over 15,000 people having Samoan ancestry. Additionally, the Seattle area had the highest percentage of self-identified mixed-race people of any large metropolitan area in the United States, according to the 2000 United States Census Bureau. According to a 2012 HistoryLink study, Seattle's 98118 ZIP code (in the Columbia City neighborhood) was one of the most diverse ZIP Code Tabulation Areas in

5478-620: The miners in Alaska and the Yukon . Few of those working men found lasting wealth. However, it was Seattle's business of clothing the miners and feeding them salmon that panned out in the long run. Along with Seattle, other cities like Everett , Tacoma , Port Townsend , Bremerton , and Olympia , all in the Puget Sound region, became competitors for exchange, rather than mother lodes for extraction, of precious metals. The boom lasted into

5561-419: The most appropriate care providers. The three response levels are basic with advanced life support units, emergency BLS only, and non-emergency BLS only. The first tier is basic life support provided by cross-trained firefighter emergency medical technician - basics . The second tier is advanced life support . Basic life support transports for 9-1-1 calls are provided by either a fire department or one of

5644-473: The original landing location, reestablished their old land claim and called it "New York", but renamed "New York Alki" in April 1853, from a Chinook word meaning, roughly, "by and by" or "someday". For the next few years, New York Alki and Duwamps competed for dominance, but in time Alki was abandoned and its residents moved across the bay to join the rest of the settlers. David Swinson "Doc" Maynard , one of

5727-411: The population, Spanish was spoken by 4.5% of the population, speakers of other Indo-European languages made up 3.9%, and speakers of other languages made up 2.5%. Seattle's foreign-born population grew 40% between the 1990 and 2000 censuses. The Chinese population in the Seattle area has origins in mainland China , Hong Kong, Southeast Asia, and Taiwan . The earliest Chinese-Americans that came in

5810-405: The private ambulance companies American Medical Response and Tri-Med Ambulance . Advanced life support transports for 9-1-1 calls are provided by paramedics. All paramedics in King County are graduates of the University of Washington Paramedic Training Program regardless of previous training. The training is 1,866 total hours consisting of 380 lecture hours, 120 lab hours, 466 clinical hours in

5893-586: The production of Boeing aircraft. The war dispersed the city's numerous Japanese-American businessmen due to the Japanese American internment . After the World War II, however, the local economy dipped. It rose again with Boeing's growing dominance in the commercial airliner market. Seattle celebrated its restored prosperity and made a bid for world recognition with the Century 21 Exposition ,

5976-490: The purchasing of emergency medical equipment. A change in the protocol of emergency response personnel is also credited as contributing to the high survival rate in the region. Guidelines set by the American Heart Association in 2000, recommend repeated shocks from a defibrillator and to check for a pulse prior to starting CPR. Medic One guidelines, established in 2005, are to provide a single shock from

6059-587: The recommendations of the medical director. The major components of Medic One's response system are universal access, dispatcher triage, basic life support services, advanced life support services, and transport to hospitals. A medical 9-1-1 call is handled by one of the following communication centers Seattle Fire Department Alarm Center , Valley Communications Center , North East King County Regional Public Safety Communication Agency , or Port of Seattle Police Department Communications Center . Medic One dispatchers use criteria based dispatch guidelines to send

6142-444: The responsibility to abate nuisances affecting the public health and to prevent the spread of contagious disease, especially smallpox . Between 1877 and 1890, ten different local doctors served in the role. In 1890, the city established a Department of Sanitation, under the direction of the Board of Health, which also authority to appoint a Health Officer. It was badly needed. That year "[t]here were so many cases of typhoid fever that

6225-471: The time the first European settlers arrived, the Duwamish people occupied at least 17 villages in the areas around Elliott Bay . The name for the modern city of Seattle in Lushootseed , dᶻidᶻəlal̓ič , meaning "little crossing-over place", comes from one of these villages, which was located at the present-day King Street Station . In May 1792, George Vancouver was the first European to visit

6308-754: Was also changed by the construction of a seawall and the artificial Harbor Island (completed 1909) at the mouth of the city's industrial Duwamish Waterway , the terminus of the Green River . The highest point within city limits is at High Point in West Seattle, which is located near 35th Ave SW and SW Myrtle St. North of the city center, the Lake Washington Ship Canal connects Puget Sound to Lake Washington. It incorporates four natural bodies of water: Lake Union , Salmon Bay , Portage Bay , and Union Bay . Due to its location in

6391-458: Was empowered to inspect any home where children were being raised, and also could provide poor families with free milk. There was also a focus on preventing bubonic plague from entering through the city's port. The city also operated several free medical services, including a small emergency hospital for the indigent and free typhoid shots for anyone travelling out of the city to a region where typhoid might be encountered. Another key function

6474-478: Was founded in the immediate wake of the fire. The Panic of 1893 hit Seattle hard. The second and most dramatic boom resulted from the Klondike Gold Rush , which ended the depression that had begun with the Panic of 1893 . In a short time, Seattle became a major transportation center. On July 14, 1897, the S.S. Portland docked with its famed "ton of gold", and Seattle became the main transport and supply point for

6557-541: Was gaining national and international attention. Medic One service was expanded into the rest of King County in 1976, and in conjunction with the Medic One Foundation, other counties in Washington State began paramedic programs to serve their communities. In 1979, Cobb and UW professor Mickey Eisenberg began training fire department emergency medical technician - Basics (EMT-Bs) to perform the administration of defibrillation for patients in cardiac arrest since

6640-730: Was mildly prosperous in the 1920s but was particularly hard hit in the Great Depression, experiencing some of the country's harshest labor strife in that era. Violence during the Maritime Strike of 1934 cost Seattle much of its maritime traffic, which was rerouted to the Port of Los Angeles . The Great Depression in Seattle affected many minority groups, one being the Asian Pacific Americans; they were subject to racism, loss of property, and failed claims of unemployment due to citizenship status. Seattle

6723-497: Was one of the major cities that benefited from programs such as the Works Progress Administration , CCC , Public Works Administration , and others. The workers, mostly men, built roads, parks, dams, schools, railroads, bridges, docks, and even historical and archival record sites and buildings. Seattle faced significant unemployment, loss of lumber and construction industries as Los Angeles prevailed as

6806-448: Was one of the whitest big cities in the country, although its proportion of white residents has been gradually declining. In 1960, whites constituted 91.6% of the city's population, while in 2010 they constituted 69.5%. According to the 2006–2008 American Community Survey , approximately 78.9% of residents over the age of five spoke only English at home. Those who spoke Asian languages other than Indo-European languages made up 10.2% of

6889-445: Was safety of the food supply: at this date, the federal government had no involvement in the safety of the food supply, except insofar as goods were shipped across state lines. The city health department not only engaged in restaurant and market inspections (which by this time included Pike Place Market , established 1907), but also oversaw the health of the city's farm animals, especially milk cows, but also chickens and horses. In 1915,

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